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DOUGLAS C SMITH MD NPI 1285602508


NPI Profile

NPI: 1285602508
Provider Name: DOUGLAS C SMITH, MD
Classification:General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2900 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
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Phone: (907) 345-0728

Douglas C Smith, MD is a general practice in Anchorage, AK. Douglas C Smith, MD NPI is 1285602508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508-756
Phone: (907) 345-0728
Fax: (907) 345-0728

The NPI 1285602508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2006 and was last updated on 9/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice2227ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MD0658MEDICAIDALASKA
2A0328OTHERBLUE CROSS SUB
3C96945MEDICARE UPIN
40000BHWXLMEDICARE ID-TYPE UNSPECIFIEDALASKA
5920128597OTHERFEDERAL TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/9/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.